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Local Public Funding for Health Care in Nine States: Which Counties Spend? For What? How Much? |
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Abstract:
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The willingness of Americans to publicly fund health care services is a long debated and perennially timely issue. We argue that public commitment to health care funding may be more extensive at the local level than previously thought. Preliminary research in the mid-1990s conducted in Kansas found between 12.1 and 13.6 percent of county budgets devoted to funding basic health care services. This paper analyzes data gathered from all county budgets in nine predominantly rural states—Georgia, Iowa, Kansas, Montana, Nebraska, New Mexico, South Dakota, Utah and West Virginia--in order to determine the extent and patterns of local spending for basic health care services in 1997, 1999 and 2001. The purpose of the study was to determine (1) the absolute amount of health care spending at the local level going to support health care services in each of these years, (2) the percent of each county budget devoted to health care expenditures throughout the nine study states in each of the three study years, and (3) county per capita spending for health care in each of the nine study states over the same three years. In addition, we wanted to examine factors that might explain variation in these three variables in a given year as well as patterns of change over time. |
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health (114), care (78), counti (74), rural (47), spend (45), state (37), studi (37), servic (34), local (25), variabl (23), use (23), budget (22), fund (21), data (20), research (20), 1999 (19), tax (19), level (18), year (17), hospit (17), kansa (16), |
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Association:
Name: American Sociological Association URL: http://www.asanet.org
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Citation:
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MLA Citation:
| Zimmerman, Mary., McAdams, Rod. and Wiebold-Lippisch, Lori. "Local Public Funding for Health Care in Nine States: Which Counties Spend? For What? How Much?" Paper presented at the annual meeting of the American Sociological Association, Hilton San Francisco & Renaissance Parc 55 Hotel, San Francisco, CA,, Aug 14, 2004 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p110618_index.html> |
APA Citation:
| Zimmerman, M. K., McAdams, R. and Wiebold-Lippisch, L. , 2004-08-14 "Local Public Funding for Health Care in Nine States: Which Counties Spend? For What? How Much?" Paper presented at the annual meeting of the American Sociological Association, Hilton San Francisco & Renaissance Parc 55 Hotel, San Francisco, CA, Online <.PDF>. 2009-05-26 from http://www.allacademic.com/meta/p110618_index.html |
Publication Type: Conference Paper/Unpublished Manuscript Review Method: Peer Reviewed Abstract: The willingness of Americans to publicly fund health care services is a long debated and perennially timely issue. We argue that public commitment to health care funding may be more extensive at the local level than previously thought. Preliminary research in the mid-1990s conducted in Kansas found between 12.1 and 13.6 percent of county budgets devoted to funding basic health care services. This paper analyzes data gathered from all county budgets in nine predominantly rural states—Georgia, Iowa, Kansas, Montana, Nebraska, New Mexico, South Dakota, Utah and West Virginia--in order to determine the extent and patterns of local spending for basic health care services in 1997, 1999 and 2001. The purpose of the study was to determine (1) the absolute amount of health care spending at the local level going to support health care services in each of these years, (2) the percent of each county budget devoted to health care expenditures throughout the nine study states in each of the three study years, and (3) county per capita spending for health care in each of the nine study states over the same three years. In addition, we wanted to examine factors that might explain variation in these three variables in a given year as well as patterns of change over time. |
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| Document Type: |
.PDF |
| Page count: |
14 |
| Word count: |
3544 |
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| Local Public Funding for Health Care in Nine States: Which Counties Spend? For What? How Much? * Mary K. Zimmerman University of Kansas Rodney McAdams Armstrong Atlantic State University Lori Wiebold-Lippisch University of Kansas Patricia Oslund University of Kansas Submitted for Presentation at the Annual Meetings of the American Sociological Association August 14-17 2004. San Francisco California *Funded by grant #47355 to the first author from the Robert Wood Johnson Foundation (Health Care Financing and Organization Initiative). Contact: mzimmerman@ku.edu |
| of Agriculture. 1993. 1993 Urban Influence Codes. Economic Research Service Population Labor and Income Branch. Wellever Anthony Douglas Wholey and Tiffany Radcliff. 2000. “Strategic Choices of Rural Health Networks: Implications for Goals and Performance Measurement.” Working Paper No. 31. Minneapolis MN: Rural Health Research Center University of Minnesota. Wysong J.A. M.K. Bliss J.W. Osborne R.P. Graham D.A. Pikuzinski. 1999. “Managed Care in Rural Markets: Availability and Enrollment.” Journal of Health Care for the Poor and Underserved 10 (1): 72-84. |
Similar Titles:
Publicly Funded Local Health Care in Rural Areas
Variations in Local Service Delivery: Examinging the Effects of State-Level Factors on Local Contracting
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